Sibel Kücükoglu, Fatma Tas Arslan, Sevinc Akkoyun, Deniz Kocoglu-Tanyer, Hanifi Soylu, Murat Konak
{"title":"便利收纳对早产儿足跟采血时脑氧合、生理参数、舒适度和疼痛的影响：一项随机对照试验","authors":"Sibel Kücükoglu, Fatma Tas Arslan, Sevinc Akkoyun, Deniz Kocoglu-Tanyer, Hanifi Soylu, Murat Konak","doi":"10.1111/ijn.70051","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aims</h3>\n \n <p>This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO<sub>2</sub>), physiological parameters, pain and comfort of premature infants during heel blood collection.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (<i>n</i> = 22), facilitated tucking with positioning bed group (<i>n</i> = 22) and routine procedure control group (<i>n</i> = 22); rSO<sub>2</sub>, physiological parameters, pain and (dis)comfort were assessed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>In the facilitated tucking with positioning bed group, rSO<sub>2</sub> and oxygen saturation (SpO<sub>2</sub>) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (<i>p</i> < 0.001). According to the results of the analysis, the effect size was moderate for rSO<sub>2</sub>, body temperature, heart rate and SpO<sub>2</sub> and large for respiratory rate, comfort and pain.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Positioning bed can help stabilize rSO<sub>2</sub> and physiologic parameters, increase comfort and reduce pain in premature infants.</p>\n </section>\n </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of Facilitated Tucking on Cerebral Oxygenation, Physiological Parameters, Comfort and Pain in Premature Infants During Heel Blood Collection: A Randomized Controlled Trial\",\"authors\":\"Sibel Kücükoglu, Fatma Tas Arslan, Sevinc Akkoyun, Deniz Kocoglu-Tanyer, Hanifi Soylu, Murat Konak\",\"doi\":\"10.1111/ijn.70051\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aims</h3>\\n \\n <p>This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO<sub>2</sub>), physiological parameters, pain and comfort of premature infants during heel blood collection.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (<i>n</i> = 22), facilitated tucking with positioning bed group (<i>n</i> = 22) and routine procedure control group (<i>n</i> = 22); rSO<sub>2</sub>, physiological parameters, pain and (dis)comfort were assessed.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>In the facilitated tucking with positioning bed group, rSO<sub>2</sub> and oxygen saturation (SpO<sub>2</sub>) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (<i>p</i> < 0.001). According to the results of the analysis, the effect size was moderate for rSO<sub>2</sub>, body temperature, heart rate and SpO<sub>2</sub> and large for respiratory rate, comfort and pain.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Positioning bed can help stabilize rSO<sub>2</sub> and physiologic parameters, increase comfort and reduce pain in premature infants.</p>\\n </section>\\n </div>\",\"PeriodicalId\":14223,\"journal\":{\"name\":\"International Journal of Nursing Practice\",\"volume\":\"31 5\",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-09-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/ijn.70051\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ijn.70051","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Effect of Facilitated Tucking on Cerebral Oxygenation, Physiological Parameters, Comfort and Pain in Premature Infants During Heel Blood Collection: A Randomized Controlled Trial
Aims
This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO2), physiological parameters, pain and comfort of premature infants during heel blood collection.
Methods
This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (n = 22), facilitated tucking with positioning bed group (n = 22) and routine procedure control group (n = 22); rSO2, physiological parameters, pain and (dis)comfort were assessed.
Results
In the facilitated tucking with positioning bed group, rSO2 and oxygen saturation (SpO2) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (p < 0.001). According to the results of the analysis, the effect size was moderate for rSO2, body temperature, heart rate and SpO2 and large for respiratory rate, comfort and pain.
Conclusions
Positioning bed can help stabilize rSO2 and physiologic parameters, increase comfort and reduce pain in premature infants.
期刊介绍：
International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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